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J Physiol Volume 567, Number 2, 583-589, September 1, 2005 DOI: 10.1113/jphysiol.2005.087031
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Rapid Reports

Dexamethasone up-regulates skeletal muscle maximal Na+,K+ pump activity by muscle group specific mechanisms in humans

Nikolai Nordsborg1, Craig Goodmann2, Michael J. McKenna2 and Jens Bangsbo1

1 August Krogh Institute, Institute of Exercise and Sport Sciences, Universitetsparken 13, 2100 Copenhagen, Denmark
2 School of Human Movement, Recreation and Performance, Victoria University of Technology, PO Box 14428, Melbourne, Australia

Dexamethasone, a widely clinically used glucocorticoid, increases human skeletal muscle Na+,K+ pump content, but the effects on maximal Na+,K+ pump activity and subunit specific mRNA are unknown. Ten healthy male subjects ingested dexamethasone for 5 days and the effects on Na+,K+ pump content, maximal activity and subunit specific mRNA level ({alpha}1, {alpha}2, ß1, ß2, ß3) in deltoid and vastus lateralis muscle were investigated. Before treatment, maximal Na+,K+ pump activity, as well as {alpha}1, {alpha}2, ß1 and ß2 mRNA levels were higher (P < 0.05) in vastus lateralis than in deltoid. Dexamethasone treatment increased Na+,K+ pump maximal activity in vastus lateralis and deltoid by 14 ± 7% (P < 0.05) and 18 ± 6% (P < 0.05) as well as Na+,K+ pump content by 18 ± 9% (P < 0.001) and 24 ± 8% (P < 0.01), respectively. Treatment with dexamethasone resulted in a higher {alpha}1, {alpha}2, ß1 and ß2 mRNA expression in the deltoid (P < 0.05), but no effects on Na+,K+ pump mRNA were detected in vastus lateralis. In conclusion, dexamethasone treatment increased maximal Na+,K+ pump activity in both vastus lateralis and deltoid muscles. The relative importance of transcription and translation in the glucocorticoid-induced regulation of Na+,K+ pump expression seems to be muscle specific and possibly dependent on the actual training condition of the muscle, such that a high Na+,K+ pump maximal activity and mRNA level prior to treatment prevents the transcriptional response to dexamethasone, but not the increase in Na+,K+ pump content and maximal activity.

(Received 21 March 2005; accepted after revision 20 June 2005; first published online 23 June 2005)
Corresponding author J. Bangsbo: August Krogh Institute, Institute of Exercise and Sport Sciences, Universitetsparken 13, 2. floor, 2100 Copenhagen, Denmark.  Email: jbangsbo{at}aki.ku.dk




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N. Nordsborg, J. Ovesen, M. Thomassen, M. Zangenberg, C. Jons, F. M. Iaia, J. J. Nielsen, and J. Bangsbo
Effect of dexamethasone on skeletal muscle Na+,K+ pump subunit specific expression and K+ homeostasis during exercise in humans
J. Physiol., March 1, 2008; 586(5): 1447 - 1459.
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